Evidence map›Paper›PMID 41671203›Full record

Observational studyDigestive diseases (Basel, Switzerland)2026

The Actual Condition of Chronic Constipation in Real-World Clinical Settings and Its Impact on Various Aspects of Daily Life.

Mariko Hojo, Tadayuki Oshima, Seiji Futagami, Kimio Isshi, Eikichi Ihara, Yoshiharu Yamaguchi, Noriaki Manabe, Motoyasu Chibai, Kazuhiro Kamada, Atsushi Oshio and 1 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Digestive diseases (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mariko HojoDepartment of Gastroenterology, Juntendo University Faculty of Medicine, Tokyo, Japan, mhojo@juntendo.ac.jp.
Tadayuki OshimaDepartment of Gastroenterology and Hepatology, Hyogo Medical University, Hyogo, Japan.
Seiji FutagamiDivision of Gastroenterology, Nippon Medical School, Tokyo, Japan.
Kimio IsshiIsshi Gastrointestinal Clinic, Tokyo, Japan.
Eikichi IharaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yoshiharu YamaguchiDepartment of Gastroenterology, Aichi Medical University School of Medicine, Nagakute, Japan.
Noriaki ManabeDivision of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan.
Motoyasu ChibaiHeiwadai Clinic, Tokyo, Japan.
Kazuhiro KamadaDepartment of Gastroenterology, Matsushita Memorial Hospital, Osaka, Japan.
Atsushi OshioFaculty of Letters, Arts and Sciences, Waseda University, Tokyo, Japan.
Koji NakadaDepartment of Laboratory Medicine, The Jikei University Daisan Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Chronic constipation is common, but its characteristics and impact on various aspects of daily life remain unclear. This study examined patient characteristics and assessed how background factors, constipation symptoms, and defecation status impact daily life dissatisfaction, quality of life (QOL), and psychological states.

methodsA multicenter, prospective, observational study on outpatients with moderate to severe chronic constipation was conducted. The Chronic Constipation-Therapeutic Efficacy and Satisfaction Test (CC-TEST) and validated questionnaires such as the Hospital Anxiety and Depression Scale (HADS) and Short Form Health Survey-8 (SF-8) were administered to assess symptoms, defecation status, and daily life. Correlation and multiple regression analyses explored factor relationships.

resultsThe analysis included 201 participants. Despite treatment, with over half using magnesium oxide, many patients remained dissatisfied. Younger patients and females reported more severe abdominal symptoms, while older patients experienced greater defecation difficulty. All constipation symptoms correlated with daily life dissatisfaction, with abdominal discomfort showing the strongest association. Abdominal symptoms were significantly associated with the Mental Component Summary (MCS) of the SF-8, HADS anxiety, and HADS depression scores. Most defecation status components showed no correlation with SF-8 MCS, HADS anxiety, or HADS depression scores. Multivariate analysis revealed that abdominal symptoms, especially discomfort, significantly impacted daily life dissatisfaction, and reduced SF-8 MCS scores.

conclusionsMany patients with moderate to severe chronic constipation experience long-term symptoms and remain dissatisfied with treatment. Abdominal symptoms such as discomfort and pain significantly affect their daily life, QOL, and psychological well-being. Reducing abdominal symptoms may be crucial for improving treatment outcomes. </p>.

Indexed as

Activities of Daily LivingConstipationQuality of LifeAdultAgedChronic DiseaseDefecationFemaleHumansMaleMiddle AgedProspective StudiesSurveys and QuestionnairesAbdominal discomfortCC-TESTChronic constipation

Identifiers

PMID41671203
PMCPMC12893745

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.